# PERRY E ZACK DO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881889491
- **Authorized official:** MR. PERRY EARL ZACK D.O. (OWNER)
- **Authorized official phone:** (219) 945-0090

## Contact information

- **Practice address:** 1400 S LAKE PARK AVE, SUIT 405, HOBART, IN 46342-6636
- **Practice address phone:** (219) 945-0090
- **Practice address fax:** (219) 945-1118
- **Mailing address:** 1400 S LAKE PARK AVE, SUIT 405, HOBART, IN 46342-6636
- **Mailing address phone:** (219) 945-0090
- **Mailing address fax:** (219) 945-1118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02001537 | IN | Yes |

## Other

- **Enumeration date:** 09/07/2007
- **Last updated:** 09/07/2007